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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Coughing, hoarse voice, chest congestion, have sinusitis and underactive thyroid. Recommendations?

I am a 33 year old female and over a week ago I developed a cold (I think) where I had a runny nose and general malaise . I did not have a fever but I did develop a nagging cough . Presently I feel as if something ( mucus maybe) is stuck in the centre of my chest, it feels scratchy sometimes to the point where it feels irritable and I cough easily. I try to clear my chest by coughing now and again but nothing comes up. During the night I cough often and I have had a hoarse voice since two days after I started experiencing cold symptoms. I do suffer from sinusitis and someone explained to me that most likely I would have developed a viral sinus infection and need to start working with sinus medication because she experienced the same cold symptoms a few weeks ago herself. I am highly distrustful of medications because I had bad experiences in the past with antibiotics for tonsilitis and ear nose and throat infection. I currently have an underactive thyroid as well. My nasal passages do feel blocked especially in the morning but should I just treat this as a sinus infection and if so what do you recommend?
Tue, 25 Mar 2014
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ENT Specialist 's  Response
Hello

Welcome in H.C.M.

I have gone through your query regarding coughing, hoarse voice, chest congestion and sinus issue.

On the basis of your clinical history it appears as you are most likely having respiratory tract infection involving nose and sinuses, throat and larynx. Laryngeal involvement is expected as there is hoarseness of voice.

For making a diagnosis and plan for treatment you should do these basic investigations-

1- C.T. Scan of paranasal sinuses.

2- Culture and sensitivity of throat swab.

3- Gram's staining of throat swab.

4- X-Ray chest.

5- Blood- CBC, ESR, blood sugar (F& PP).

Inferences of above investigations are to be co-related with clinical findings of your ENT doctor to get proper diagnosis. Till you are waiting for specialist you may take-

a- Steam inhalation.

b- Mucolytic and decongestant.

c- Adequate fluid orally.

d- Broad spectrum antibiotic.

I hope above will help you and I am wishing for speedy recovery.

Regards.
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Coughing, hoarse voice, chest congestion, have sinusitis and underactive thyroid. Recommendations?

Hello Welcome in H.C.M. I have gone through your query regarding coughing, hoarse voice, chest congestion and sinus issue. On the basis of your clinical history it appears as you are most likely having respiratory tract infection involving nose and sinuses, throat and larynx. Laryngeal involvement is expected as there is hoarseness of voice. For making a diagnosis and plan for treatment you should do these basic investigations- 1- C.T. Scan of paranasal sinuses. 2- Culture and sensitivity of throat swab. 3- Gram s staining of throat swab. 4- X-Ray chest. 5- Blood- CBC, ESR, blood sugar (F& PP). Inferences of above investigations are to be co-related with clinical findings of your ENT doctor to get proper diagnosis. Till you are waiting for specialist you may take- a- Steam inhalation. b- Mucolytic and decongestant. c- Adequate fluid orally. d- Broad spectrum antibiotic. I hope above will help you and I am wishing for speedy recovery. Regards.